Harvill-Brooks, Marjorie Nicole

Harvill-Brooks, Marjorie Nicole is an individual health care provider with primary practice located at 940 Royal Ave Suite 350, Medford OR 97504-6193. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Harvill-Brooks, Marjorie Nicole can be contacted via phone (541) 732-7460.

Contact Information

Primary practice address
940 Royal Ave Suite 350 Medford OR 97504-6193
Phone: (541) 732-7460
Fax: (541) 732-7461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X DO154075 Oregon
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X DO154075 Oregon

Profile Details

NPI number 1831148196
LBN Legal business name Harvill-Brooks, Marjorie Nicole
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Mar 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831148196 NPPES
Oregon Other 500634857 MEDICAID

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